Pub Date : 2022-12-31DOI: 10.23937/2377-4630/1410148
Imbelloni Luiz Eduardo, Fornasari Marcos, Sant'Anna Raphael, de Morais Filho Geraldo Borges
{"title":"Thoracic Spinal Anesthesia is Safe and without Neurological Sequelae: Study with 1,406 Patients","authors":"Imbelloni Luiz Eduardo, Fornasari Marcos, Sant'Anna Raphael, de Morais Filho Geraldo Borges","doi":"10.23937/2377-4630/1410148","DOIUrl":"https://doi.org/10.23937/2377-4630/1410148","url":null,"abstract":"","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43752896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.23937/2377-4630/1410150
H. Pinter, Uyun Yusmein
{"title":"Management of Elective Cesarean Section Anesthesia in HIV-Positive Patients","authors":"H. Pinter, Uyun Yusmein","doi":"10.23937/2377-4630/1410150","DOIUrl":"https://doi.org/10.23937/2377-4630/1410150","url":null,"abstract":"","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47509004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.23937/2377-4630/1410146
Kandemir Emre, Çekmen Nedim, T. Adnan
{"title":"Anesthetic Management of a Glycogen Storage Disease Type 1a with Air Embolism During Liver Transplantation: A Case Report","authors":"Kandemir Emre, Çekmen Nedim, T. Adnan","doi":"10.23937/2377-4630/1410146","DOIUrl":"https://doi.org/10.23937/2377-4630/1410146","url":null,"abstract":"","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42754449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Comparison Study of Anesthetic Techniques in Elderly Patients between General and Regional Anesthesia in a Day Surgery Center: A Retrospective Cohort Study","authors":"Nibaruta Janvier, Xingjiao Lyu, Xiao-Wei Han, Xiaoyu Hou, Xuefen Cao, Yufang Leng","doi":"10.23937/2377-4630/1410152","DOIUrl":"https://doi.org/10.23937/2377-4630/1410152","url":null,"abstract":"","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42280623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.23937/2377-4630/1410149
Imbelloni Luiz Eduardo
{"title":"Spinal Anesthesia: Position of Puncture, Ultrasound and Local Anesthetics Solution","authors":"Imbelloni Luiz Eduardo","doi":"10.23937/2377-4630/1410149","DOIUrl":"https://doi.org/10.23937/2377-4630/1410149","url":null,"abstract":"","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42067780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.23937/2377-4630/1410147
Neymark Dmitry
{"title":"Automation of Anesthesiology - Will Artificial Intelligence Replace Clinicians","authors":"Neymark Dmitry","doi":"10.23937/2377-4630/1410147","DOIUrl":"https://doi.org/10.23937/2377-4630/1410147","url":null,"abstract":"","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42283900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.23937/2377-4630/1410141
Ibekwe Stephanie Opusunju, Jeffrey Noel Shaheen, Schwenke Shannon Walter
{"title":"Intraoperative Transesophageal Echocardiography Leading to Changes in Surgical Management in the Setting of Infective Endocarditis","authors":"Ibekwe Stephanie Opusunju, Jeffrey Noel Shaheen, Schwenke Shannon Walter","doi":"10.23937/2377-4630/1410141","DOIUrl":"https://doi.org/10.23937/2377-4630/1410141","url":null,"abstract":"","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47315130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.23937/2377-4630/1410136
Ayres Marina D, Ferreira Luana A, Khouri Davi B, Ubaldo José L
Purpose of review: This is a short review describing recent data on the use of opioids in epidural anesthesia on abdominal surgery. It is known that postoperative pain has nociceptive, inflammatory and neuropathic components and must be prevented. The period following abdominal surgery is particularly challenging because it has other side effects related to the surgery, in addition to pain. Limiting these unwanted consequences requires a multidisciplinary team. Opioids remain the leading postoperative pain management drugs despite their known side effects, which are dose-dependent and may vary according to the route of administration. Sedation, dizziness, nausea, vomiting, and constipation are often related to opioid use. Since constipation or ileum are also directly related to abdominal surgery, temporary changes in gastrointestinal motility are inevitable after open surgeries. As such, there is concern that opioid-based anesthesia could make it worse and even increase postoperative morbidity and mortality. Recent findings: Several studies involving open colorectal surgery have shown that epidural analgesia, with or without opioid administration, is more effective in treating postoperative pain than intravenous analgesia, thus, this article intends to conduct a literature review to assess whether the association of opioids and local anesthetics in epidural analgesia for colorectal surgery increases the incidence and intensity of postoperative ileus. Summary: This review found no convincing evidence that the use of intrathecal opioids increases the incidence of postoperative ileus, in addition, it was shown to be an effective pain management tool, as expected.
{"title":"Epidural Anesthesia with Opioids in Open Colorectal Surgeries is not Related to Postoperative Ileum","authors":"Ayres Marina D, Ferreira Luana A, Khouri Davi B, Ubaldo José L","doi":"10.23937/2377-4630/1410136","DOIUrl":"https://doi.org/10.23937/2377-4630/1410136","url":null,"abstract":"Purpose of review: This is a short review describing recent data on the use of opioids in epidural anesthesia on abdominal surgery. It is known that postoperative pain has nociceptive, inflammatory and neuropathic components and must be prevented. The period following abdominal surgery is particularly challenging because it has other side effects related to the surgery, in addition to pain. Limiting these unwanted consequences requires a multidisciplinary team. Opioids remain the leading postoperative pain management drugs despite their known side effects, which are dose-dependent and may vary according to the route of administration. Sedation, dizziness, nausea, vomiting, and constipation are often related to opioid use. Since constipation or ileum are also directly related to abdominal surgery, temporary changes in gastrointestinal motility are inevitable after open surgeries. As such, there is concern that opioid-based anesthesia could make it worse and even increase postoperative morbidity and mortality. Recent findings: Several studies involving open colorectal surgery have shown that epidural analgesia, with or without opioid administration, is more effective in treating postoperative pain than intravenous analgesia, thus, this article intends to conduct a literature review to assess whether the association of opioids and local anesthetics in epidural analgesia for colorectal surgery increases the incidence and intensity of postoperative ileus. Summary: This review found no convincing evidence that the use of intrathecal opioids increases the incidence of postoperative ileus, in addition, it was shown to be an effective pain management tool, as expected.","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41870040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.23937/2377-4630/1410140
Marco Dornelles, Larissa P. Dornelles
This study aimed to report the use of a multimodal anesthetic (MA) regimen by combining a panoply of drugs without opioids for posterior spinal fusion surgery in a patient with Low-back incapacity and opioid intolerance. The surgery occurred without incidents nor do hemodynamic instabilities, except for a delay in waking up, reverse with extra doses of decurarizing. On the 13th day, she reported mild pain (VAS 2/10) and was satisfied with the result of the surgery. This case report highlights the new concept of using manifold drugs through the use a goal-direct strategies based on monitoring. Furthermore, we emphasize the use of good monitoring, such as ANI and IGP, for the success of this type of surgery. Scale; LIF: Lumbar Interbody Fusion; ALIF: Anterior Lumbar Interbody Fusion; PLIF: Posterior Lumbar Interbody Fusion; ERAS: Enhanced Recovery After Surgery; ANS: Autonomic Nervous System; OFA: Opioid-Free Anesthesia; BIS: Bispectral Index; TOF: Train-Of-Four; ANI: Analgesia Nociception Index; ICG: Impedance Cardiography; SV: Systolic Volume; HR: Heart Rate; CO: Cardiac Output; VET: Ventricular Ejection Time; MAC: Minimum Alveolar Concentration; PACU: Post-anesthesia Care Unit; AHT: Arterial Hypertension; CNS: Central Nervous System.
{"title":"Opioid Free Anesthesia with Goal-Directed Strategies Based On Monitoring For Spine Surgery in a Patient with Opioid Intolerance: A Case Report","authors":"Marco Dornelles, Larissa P. Dornelles","doi":"10.23937/2377-4630/1410140","DOIUrl":"https://doi.org/10.23937/2377-4630/1410140","url":null,"abstract":"This study aimed to report the use of a multimodal anesthetic (MA) regimen by combining a panoply of drugs without opioids for posterior spinal fusion surgery in a patient with Low-back incapacity and opioid intolerance. The surgery occurred without incidents nor do hemodynamic instabilities, except for a delay in waking up, reverse with extra doses of decurarizing. On the 13th day, she reported mild pain (VAS 2/10) and was satisfied with the result of the surgery. This case report highlights the new concept of using manifold drugs through the use a goal-direct strategies based on monitoring. Furthermore, we emphasize the use of good monitoring, such as ANI and IGP, for the success of this type of surgery. Scale; LIF: Lumbar Interbody Fusion; ALIF: Anterior Lumbar Interbody Fusion; PLIF: Posterior Lumbar Interbody Fusion; ERAS: Enhanced Recovery After Surgery; ANS: Autonomic Nervous System; OFA: Opioid-Free Anesthesia; BIS: Bispectral Index; TOF: Train-Of-Four; ANI: Analgesia Nociception Index; ICG: Impedance Cardiography; SV: Systolic Volume; HR: Heart Rate; CO: Cardiac Output; VET: Ventricular Ejection Time; MAC: Minimum Alveolar Concentration; PACU: Post-anesthesia Care Unit; AHT: Arterial Hypertension; CNS: Central Nervous System.","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43591971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.23937/2377-4630/1410135
Okeyemi Ajibade, Suleiman Zakari Aliyu, Oyedepo Olanrewaju Olubukola, Bolaji Benjamin Olusomi, Akere Abidemi David
Background: Propofol is used as an induction agent to facilitate laryngeal mask airway (LMA) insertion but unwanted responses such as drop in blood pressure, cough, laryngospasm, movement and apnoea may occur. Use of adjuvant with propofol or a combination of different synergistic pharmacologic agents that can maintain airway patency and hemodynamic parameters can be exploited to avoidance these undesirable responses and effects during LMA insertion. We compared the effects of ketaminefentanyl and propofol-fentanyl combinations on LMA insertion conditions and post-operative outcome in children undergoing herniotomy. Methods: The study was randomized double-blinded conducted on eighty ASA physical statuses I and II paediatric patients age ranged 1 to 15 years scheduled for herniotomy. The patients were grouped into two (A and B) of forty patients each and LMA was inserted following administrations of two different drug combinations. Group A received pre-mixed ketamine 2 mg/kg and fentanyl 2 μg/kg while group B received pre-mixed propofol 2.5 mg/kg and fentanyl 2 μg/kg. The quality of response to LMA placement (LMA insertion conditions) and post-operative outcome (patient recovery) was assessed. Results: The number of patients with acceptable LMA insertion conditions were comparable in both groups, p = 1.000, while incidence of apnoea was significantly greater in propofol-fentanyl group, p = 0.045 with no difference in the post-anaesthesia discharge scores between the groups, p = 0.241. Conclusion: Intravenous ketamine-fentanyl combination is a better induction agent for LMA insertion in children with acceptable LMA insertion conditions, good post-operative recovery scores and lower incidence of peri-insertion apnoea when compared with propofol-fentanyl combination.
{"title":"Effects of Ketamine-Fentanyl and Propofol-Fentanyl Combinations on LMA Insertion Conditions in African Children Undergoing Day-Case Herniotomy","authors":"Okeyemi Ajibade, Suleiman Zakari Aliyu, Oyedepo Olanrewaju Olubukola, Bolaji Benjamin Olusomi, Akere Abidemi David","doi":"10.23937/2377-4630/1410135","DOIUrl":"https://doi.org/10.23937/2377-4630/1410135","url":null,"abstract":"Background: Propofol is used as an induction agent to facilitate laryngeal mask airway (LMA) insertion but unwanted responses such as drop in blood pressure, cough, laryngospasm, movement and apnoea may occur. Use of adjuvant with propofol or a combination of different synergistic pharmacologic agents that can maintain airway patency and hemodynamic parameters can be exploited to avoidance these undesirable responses and effects during LMA insertion. We compared the effects of ketaminefentanyl and propofol-fentanyl combinations on LMA insertion conditions and post-operative outcome in children undergoing herniotomy. Methods: The study was randomized double-blinded conducted on eighty ASA physical statuses I and II paediatric patients age ranged 1 to 15 years scheduled for herniotomy. The patients were grouped into two (A and B) of forty patients each and LMA was inserted following administrations of two different drug combinations. Group A received pre-mixed ketamine 2 mg/kg and fentanyl 2 μg/kg while group B received pre-mixed propofol 2.5 mg/kg and fentanyl 2 μg/kg. The quality of response to LMA placement (LMA insertion conditions) and post-operative outcome (patient recovery) was assessed. Results: The number of patients with acceptable LMA insertion conditions were comparable in both groups, p = 1.000, while incidence of apnoea was significantly greater in propofol-fentanyl group, p = 0.045 with no difference in the post-anaesthesia discharge scores between the groups, p = 0.241. Conclusion: Intravenous ketamine-fentanyl combination is a better induction agent for LMA insertion in children with acceptable LMA insertion conditions, good post-operative recovery scores and lower incidence of peri-insertion apnoea when compared with propofol-fentanyl combination.","PeriodicalId":90855,"journal":{"name":"International journal of anesthetics and anesthesiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46215862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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